Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Praveen Kumrah, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1568463842

Dr. Praveen Kumrah, DPM is a Podiatry in Bronx, New York. Graduated from Barry University School of Podiatric Medicine in 1999, 27 years ago. Practices with Shakespeare Operating LLC, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
Barry University School of Podiatric Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3108 Kingsbridge Ave, Bronx, NY 10463-3956 — (718) 548-1102

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence N005801 (NY)

Record details

NPI number1568463842
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedAugust 9, 2005
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 1999 (27 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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